Near Misses in Pediatric Anesthesia [electronic resource] / by John G. Brock-Utne.

1. Case 1: Upper Gastrointestinal Endoscopy under General Anesthesia -- 2. Case 2: Sudden Anesthesia System Failure -- 3. Case 3: Broviac Catheter Placement in a Neonatal Intensive Care Unit -- 4. Case 4: Occluded Reinforced (Armored) Endotracheal Tube -- 5. Case 5: The Too-Small Rigid Bronchoscope -- 6. Case 6: Anaphylaxis, Anaphylactoid Reaction, Or What Was It? -- 7. Case 7: Generalized Convulsions after Regional Anesthesia -- 8. Case 8: Hypotension during Microdiscectomy -- 9. Case 9: Intraoperative Hypotension in a Patient Receiving Chronic Steroids -- 10. Case 10: Changing a Nasotracheal Tube for an Oral Tube in the Intensive Care Unit -- 11. Case 11: Blocked Intravenous Line during Rapid-Sequence Induction -- 12. Case 12: Postinduction Difficult Intubation -- 13. Case 13: Blunt Upper Airway Trauma in a Patient with Recent Polysubstance Abuse -- 14. Case 14: The Stuck Elevator -- 15. Case 15: Postoperative Upper Airway Obstruction -- 16. Case 16: Postoperative Respiratory Complications in a Neonate -- 17. Case 17: Pregnant Teenager with a Bad Outcome -- 18. Case 18: Tension Pneumoperitoneum -- 19. Case 19: A Patient with Status Asthmaticus -- 20. Case 20: Intraoperative Decrease in Electrocardiogram Amplitude: Cause for Concern? -- 21. Case 21: Potential Disaster: An Intravenous Line That Stops Working in the Perioperative Phase -- 22. Case 22: Ventilatory Management in Major Thoracic Incisional Injury -- 23. Case 23: Airway Leak in a Prone Patient -- 24. Case 24: Difficulty in Extubation -- 25. Case 25: Tonsillectomy -- 26. Case 26: An Unusual Cause of a Serious Cardiac Arrhythmia -- 27. Case 27: A Patient with Supraglottic Mass -- 28. Case 28: Pressurized Intravenous Hetastarch -- 29. Case 29: Intraoperative Hypotension -- 30. Case 30: Hematuria -- 31. Case 31: Congenital Complete Heart Block -- 32. Case 32: Neonatal Respiratory Distress -- 33. Case 33: Respiratory Distress in the Intensive Care Unit -- 34. Case 34: The Butterfly Needle (Abbott) -- 35. Case 35: Hypotension on Induction of Anesthesia in a Trauma Patient -- 36. Case 36: Delayed Postoperative Respiratory Obstruction -- 37. Case 37: An Abnormal Capnogram -- 38. Case 38: Retropharyngeal Abscess -- 39. Case 39: Rising End-Tidal Carbon Dioxide -- 40. Case 40: Acute Abdomen -- 41. Case 41: Difficulty in Ventilation in the Postinduction Period -- 42. Case 42: Unexplained Low Oxygen Saturation -- 43. Case 43: Occlusion of an Endotracheal Tube in a Neonate -- 44. Case 44: Surgical Emphysema after a Motor Vehicle Accident -- 45. Case 45: Postoperative Respiratory Arrest -- 46. Case 46: Rapid Increase in Body Temperature after Induction of General Anesthesia -- 47. Case 47: Intraoperative "Oozing" -- 48. Case 48:  A Tip for Nasotracheal Intubation -- 49. Case 49:  A Case of Anisocoria Following General Anesthesia -- 50. Case 50:  A Routine Tonsil- and Adenoidectomy -- 51. Case 51:  Drug Overdose -- 52. Case 52:  Cardiac Arrest in a Neonate -- 53. Case 53:  Bilateral Tourniquets.  Beware -- 54. Case 54:  Neurofibromatosis.  A Warning -- 55. Case 55:  A Machine Failure -- 56. Case 56:  A Severe Case of Bronchospasm -- 57. Case 57:  A Peanut in the Airway -- 58. Case 58:  A Sprinkler Spike Lodged in a Patient’s Head -- 59. Case 59:  Infusion of Cold Blood.  Should We Worry? -- 60. Case 60:  Respiratory Arrest after Extubation -- 61. Case 61:  Sudden Increase in End-Tidal CO2 -- 62. Case 62:  A Case of Acute Lymphoblastic Leukemia (ALL) -- 63. Case 63:  Intraoperative Airway Obstruction -- 64. Case 64:  An Anterior Mediastinal Mass. What Will You Do? -- 65. Case 65:  A “Routine” MRI Case -- 66. Case 66:  A Serious Problem during Neurosurgery -- 67. Case 67:  A Case of Severe Intra-abdominal Pressure -- 68. Case 68:  A Case of Severe Laryngospasm -- 69. Case 69:  An ETT Suction Problem -- 70. Case 70:  A Child Refusing an Operation -- 71. Case 71:  Why So Sleepy? -- 72. Case 72:  Check Your Facts -- 73. Case 73:  A Strange Capnogram -- 74. Case 74:  Relying on Others -- 75. Case 75:  Monitored Anesthesia Care.  Watch Out -- 76. Case 76:  An Intermittently Worrisome Capnography Trace -- 77. Case 77:  Cardiac Arrest at the Conclusion of Neurosurgery -- 78. Case 78:  Watch Out -- 79. Case 79:  A Complication of Central Venous Cannulation? -- 80. Case 80:  An Example of Murphy’s Law -- 81. Case 81:  A Tragic Case -- 82. Case 82:  Hemoptysis from a 2-Month Tracheostomy -- 83. Case 83:  A Potentially Serious Incident -- 84. Case 84:  Rusty Material in an Oxygen Flow Meter -- 85. Case 85:  A Surprising Solution to an Airway Emergency -- 86. Case 86:  An Airway Leak in the ICU -- 87. Case 87:  Pediatric Dental Anesthesia.

Authored by “a superb clinician and award-winning teacher,”* Near Misses in Pediatric Anesthesiology, Second Edition is a thorough updating and significant expansion of this popular case book in the newest anesthesiology subspecialty to be approved by the American Board of Medical Specialties.   The book comprises 87 true-story clinical “near misses,” including 40 cases that are brand new. Recommendations, references, and discussion accompany each case.  The cases provide an ideal basis for problem-centered learning and also model how to learn from experience and to maintain professionalism during the lifelong development of clinical expertise.    Dr. Brock-Utne’s latest case book provides a pediatric complement to his bestselling Case Studies of Near Misses in Clinical Anesthesia (Springer, 2012) and Clinical Anesthesia: Near Misses and Lessons Learned (Springer, 2008) .   *  Jay B. Brodsky, MD, from the Foreword.